Provider Demographics
NPI:1942237854
Name:KIM, WUK (MD)
Entity Type:Individual
Prefix:DR
First Name:WUK
Middle Name:
Last Name:KIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:364 PLYMOUTH
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48638-7137
Mailing Address - Country:US
Mailing Address - Phone:989-793-5171
Mailing Address - Fax:989-791-2417
Practice Address - Street 1:1500 WEISS
Practice Address - Street 2:SAGINAW VA HOSPITAL
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602
Practice Address - Country:US
Practice Address - Phone:989-497-2500
Practice Address - Fax:989-791-2417
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301033047208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery